| NPI | 1235942541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9529553) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-02-10 |